Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.85 / $1,933.08 / $3,039.00	Facility		$1,006.85	$1,933.08	$3,039.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $242.90 / $676.27	Professional		$96.65	$242.90	$676.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $168.26 / $491.62	Professional		$168.26	$168.26	$491.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $168.26 / $168.26	Facility		$168.26	$168.26	$168.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $190.31 / $491.62	Professional		$168.26	$190.31	$491.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $168.26 / $297.11	Facility		$82.94	$168.26	$297.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $300.11 / $520.87	Professional		$112.51	$300.11	$520.87
United Facility/Professional Professional Modifier Low / Median / High Price $460.20 / $560.91 / $1,228.80	Professional		$460.20	$560.91	$1,228.80